RESUMEN
Two hundred and seventy two women with vulvar cancer were submitted to standard surgical treatment. In 127 women (46.7%) regional lymph nodes were involved. Out of 181 women (66.5%) who survived 5 years, 132/145 women (91%) were with negative nodes and 49/127 women (38.6%) were with positive nodes. Surgical management of vulvar cancer is discussed, especially inguinal lymphadenectomy.
Asunto(s)
Carcinoma de Células Escamosas/cirugía , Neoplasias de la Vulva/cirugía , Adulto , Anciano , Carcinoma de Células Escamosas/mortalidad , Carcinoma de Células Escamosas/patología , Femenino , Humanos , Escisión del Ganglio Linfático , Metástasis Linfática , Persona de Mediana Edad , Recurrencia Local de Neoplasia , Neoplasias Primarias Secundarias , Complicaciones Posoperatorias , Tasa de Supervivencia , Vulva/cirugía , Neoplasias de la Vulva/mortalidad , Neoplasias de la Vulva/patologíaAsunto(s)
Neoplasias del Cuello Uterino/cirugía , Adulto , Femenino , Humanos , Persona de Mediana Edad , Invasividad Neoplásica/patología , Estadificación de Neoplasias , Complicaciones Posoperatorias/etiología , Complicaciones Posoperatorias/mortalidad , Factores de Tiempo , Neoplasias del Cuello Uterino/mortalidad , Neoplasias del Cuello Uterino/patologíaAsunto(s)
Melanoma/cirugía , Neoplasias de la Vulva/cirugía , Adulto , Anciano , Femenino , Humanos , Escisión del Ganglio Linfático , Melanoma/mortalidad , Melanoma/patología , Persona de Mediana Edad , Estadificación de Neoplasias , Factores de Tiempo , Neoplasias de la Vulva/mortalidad , Neoplasias de la Vulva/patologíaAsunto(s)
Servicios de Salud , Prisioneros , Guerra , Alemania , Historia del Siglo XX , Humanos , Polonia , UcraniaRESUMEN
The study reported in this paper was concerned with the problems and results of surgical treatment of invasive vulval carcinoma. Surgery was performed on 228 patients, 101 of them (44.2%) with Stage III and Stage IV carcinoma. In 156 women radical vulvectomy was combined with pelvic and inguinal lymphadenectomy. Lymph node metastases were found postoperatively in 110 patients (48%). Thirty-six patients (32.7%) had lymph node metastases in the small pelvis. The operation coefficient was 82%; postoperative morbidity was 21.4%, postoperative mortality 0.4%. Among the 228 patients operated on the 5-year survival rate was 59.2% (135 patients), and the three-year survival rate 71% (163 patients).
Asunto(s)
Carcinoma/cirugía , Melanoma/cirugía , Sarcoma/cirugía , Neoplasias de la Vulva/cirugía , Adulto , Anciano , Terapia Combinada , Femenino , Humanos , Escisión del Ganglio Linfático , Metástasis Linfática , Persona de Mediana Edad , Complicaciones Posoperatorias/etiología , PronósticoAsunto(s)
Incompatibilidad de Grupos Sanguíneos/fisiopatología , Recién Nacido de Bajo Peso , Lactógeno Placentario/sangre , Preeclampsia/fisiopatología , Complicaciones Hematológicas del Embarazo/fisiopatología , Sistema del Grupo Sanguíneo Rh-Hr , Adulto , Femenino , Humanos , Recién Nacido , Intercambio Materno-Fetal , EmbarazoRESUMEN
The authors assessed the results of supracystic urine diversion in 50 patients treated by cystectomy for bladder carcinoma who had "short radiotherapy" (2000 R) before the operation. It was found that preoperative radiotherapy caused no difficulties during subsequent cystectomy and the observed postoperative complications should be related rather to the surgical technique. It seems that indications to urine diversion by the method of Goodwin or Coffey should be considered with greater caution. In patients past the age of 65 years and those with more advanced neoplasms (T-3, T-4) bilateral ureterocutaneostomy should be performed more frequently for suprapubic urine diversion.